Citation

Fitzgerald LF, Simpson RK, Trask T. J. Trauma 1997; 42(1): 147-149.

Affiliation

Department of Neurosurgery, Baylor College of Medicine, Houston, TX 77030, USA.

Copyright

(Copyright © 1997, Lippincott Williams and Wilkins)

DOI

unavailable

PMID

9003276

Abstract

A patient sustained a cervical spine gunshot wound resulting in immediate quadriplegia and obstruction of both vertebral arteries. After an 8-hour delay, basilar artery thrombosis occurred and resulted in locked-in syndrome. Bilateral occlusion of the vertebral arteries after penetrating cervical trauma has not been reported previously. The incidence and treatment of traumatic basilar thrombosis and locked-in syndrome is reviewed. Rapid diagnosis of ascending thrombosis and prompt treatment with hyperdynamics and anticoagulation may improve outcome.

Language: en